Active NPI
Nicole Leonhardt
- Physical Therapist
- Manhasset, NY
National Provider Identifier
1336691518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040644
- Practice address
- 1554 Northern Blvd
Manhasset, NY 11030-3006 - Phone
- (516) 627-8470
- NPI assigned
- Nov 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040644 | NY | Primary |
Addresses
Primary practice location
1554 Northern Blvd
Manhasset, NY 11030-3006
Mailing address
522 Foch Blvd
Mineola, NY 11501-1319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1336691518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 FOCH BLVD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115011319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 NORTHERN BLVD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303006",
"telephone_number": "516-627-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONHARDT",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.